The consultation document Liberating the NHS: Commissioning for Patients proposed that the NHS Commissioning Board, supported by NICE, would develop a Commissioning Outcomes Framework. This would both hold CCGs to account for – and provide information for the public on – the quality of services and the health outcomes achieved through commissioning.
This document has now been renamed as the CCG Outcomes Indicator Set, to avoid confusion with the NHS Outcomes Framework, and to make it clear that the indicators refer to outcomes of services commissioned by CCGs. The purpose remains the same however – to provide clear, comparative information for CCGs, Health and Wellbeing Boards and local authorities about the quality of health services and associated health outcomes.
Following recommendations from NICE and work with stakeholder organisations, an ‘at a glance’ table setting out the CCG Outcome Indicator Set was published alongside the 2013/14 NHS planning guidance.
All of the CCG outcomes indicators have been chosen on the basis that they contribute to the overarching aims of the five domains in the NHS Outcomes Framework. The Indicator Set will not in itself set thresholds or levels of ambition for CCGs, it is intended as a tool for CCGs to drive local improvement and set priorities.
One and five year survival should be at provider level.This enables the clear identificaiton of how well a provider (and its referring GPs) are doing. If done at LA or CCG level it is often difficult to work idntifiy whihc provider should be challenged. The basis for calculation should be hosptial that fist sees patients (even if they do not provide all treatment) as this will ancho the pathway and all providers of the pathway can be engaged.
Jon- agree. I also think it would be helpful to use the national dataset of stage of diagnosis to help deduce whether the treatment/outcome was as could be reasonably expected. Connects the conversations to LA/public health role around earlier diagnosis as part of the pathway view you suggest.